Abstract
There is a global need to provide human resources for health in low- and middle-income countries. To increase access to care, task shifting has been implemented in community-based rehabilitation (CBR) programs where skills and responsibilities are transferred to local people with shorter and more focused training. Through realist review and synthesis, this research aimed to consolidate the literature when considering (a) what skills CBR workers are reportedly using and/or being trained in relating to mental health, (b) how different settings affect how these task shifting programs work, and (c) the evidence of effectiveness when community health workers come from within the community itself. A total of 11 databases (PubMed, ABI/Inform Global, CINAHL, Cochrane, Emerald, Google Scholar, PsycINFO, SAGE, Science Direct, Scopus, and Web of Science) were systematically searched for specific terms relating to mental health, CBR, and low- and middle-income country. A total of 27 publications were identified as fitting the criteria (4 qualitative, 20 quantitative including 10 randomized controlled trials, and 3 noninvestigatory editorials). Core skills have been identified along with themes that affect how programs work in particular contexts. The use of task shifting in this area may be a potentially viable option for increasing access to mental health care. This resulted in the development of a theory to explain the outcomes being observed. When Task-shifting mental health intervention skills collaboration, harnessing resources available within the community, and the provision of ongoing supervision interact to influence awareness gains, social bonding, the building of trust, and the development of skills and understanding within the community itself. This effects intervention buy-in, overall effectiveness and sustainability, mental health symptoms and local empowerment. These findings can be considered when developing training programs for CBR mental health workers, as well as policy and intervention program design. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
ALL Institute: Assisting Living & Learning
ToggleMac MacLachlan, Director, ALL Institute publishes new article in International Perspectives in Psychology
News
ALL Members Rose Ryan and Simon Ahern Successful in Securing HEA Funding
Congratulations to ALL Members Rose Ryan and Simon Ahern for this truly collaborative innovative partnership proposal.
Date: Wednesday, 21 March 2018
ALL Member, Matt McCann's Service 'Access Earth' Wins Award at Zero Conference
Access Earth was awarded one as one of the top 68 Innovative Practices for Accessibility in 2018
Date: Monday, 26 February 2018
ALL Member Dr. Bob Lawlor Success in MU SPUR Project Proposal
Project Proposal '3-Dimensional Hearing Aid with Omni Directional Microphone Array' for the Summer Programme for Undergraduate Research (SPUR) 2018
Date: Monday, 19 February 2018
ALL Member Dr. Unai Diaz-Orueta in Successful H2020 Proposal for CAPTAIN Project
Captain - Coach Assistant via Projected and Tangible Interface - uses micro projectors to provide a smart home assistant for older adults whenever and wherever it is needed, leaving their cozy place as it is when there is no need.
Date: Monday, 19 February 2018
ALL Member Dr. Unai Diaz-Orueta to Co-edit Special Issue of Frontiers
Dr. Unai Diaz-Orueta Co-editor in Frontiers Special Issue: Research Topic - Psychology, Technological Innovation, and Entrepreneurship
Date: Friday, 16 February 2018
Katriona O'Sullivan, ALL Member: New PATH Funded Project
This PATH funded project aims to increase diversity in Initial Teacher Education in Ireland by offering a year-long preparation course to the most marginalised groups.
Date: Friday, 16 February 2018
ALL Member Dr. Fleur Boot, International Guest Speaker at Western Cape Forum for Intellectual Disability, South Africa
Dr. Fleur Boot presents on Intellectual Disability and Assistive Technology
Date: Tuesday, 13 February 2018
New Article: John Owuor and Mac MacLachlan, All Member and ALL Director have New Article Published in BMJ Open
"Does assistive technology contribute to social inclusion for people with intellectual disability? A systematic review protocol"
Date: Saturday, 10 February 2018
ALL Member, Katriona O'Sullivan in the Irish Times
ALL Member, Katriona O'Sullivan in the Irish Times calling for changes to school scheme to boost outcomes for less well-off children.
Date: Tuesday, 06 February 2018
New Article by ALL Director, Mac MacLachlan in BMC Health Services Research
"Access to health care for persons with disabilities in rural South Africa"
Date: Friday, 17 November 2017